Female Death Registration: Year: 1970 number: 1201
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001201
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution IWK Hospital
3. PRINT NAME OF DECEASED Metham,
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 1 14, 1970
10. AGE in Years Months Days | hrs or 2 mins
11. Trade or profession Infant
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Stephen Metham
17. BIRTHPLACE Halifax
18. NAME of Mother Marie Pitcher
19. BIRTHPLACE Dalhousie, New Brunswick
20. Signature of Informant Mrs N. Hussey R.N.
address IWK Maternity Hospital
Relationship to deceased Nil
21. Place of burial Hospital burial
Date of burial
22. Undertaker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 14, 1970
CAUSE OF DEATH
(a) Gross Prematurely about 23 wks
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=486515
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